Deck 4: Health Education and Promotion

Question 1

A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly controlled type 1 diabetes has led to numerous health problems. Over the past several years Mrs. Griffin has had several admissions to the hospital medical unit, and the nurse has often carried out health promotion interventions. Who is ultimately responsible for maintaining and promoting Mrs. Griffins health?

A) The medical nurse
B) The community health nurse who has also worked with Mrs. Griffin
C) Mrs. Griffins primary care provider
D) Mrs. Griffin

Answer 1

Mrs. Griffin

Question 2

An elderly female patient has come to the clinic for a scheduled follow-up appointment. The nurse learns from the patients daughter that the patient is not following the instructions she received upon discharge from the hospital last month. What is the most likely factor causing the patient not to adhere to her therapeutic regimen?

A) Ethnic background of health care provider
B) Costs of the prescribed regimen
C) Presence of a learning disability
D) Personality of the physician

Answer 2

Costs of the prescribed regimen

Question 3

A gerontologic nurse has observed that patients often fail to adhere to a therapeutic regimen. What strategy should the nurse adopt to best assist an older adult in adhering to a therapeutic regimen involving wound care?

A) Demonstrate a dressing change and allow the patient to practice.
B) Provide a detailed pamphlet on a dressing change.
C) Verbally instruct the patient how to change a dressing and check for comprehension.
D) Delegate the dressing change to a trusted family member.

Answer 3

Demonstrate a dressing change and allow the patient to practice.

Question 4

A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to self-administer insulin. When planning the appropriate educational interventions and considering variables that will affect his learning, the nurse should prioritize which of the following factors?

A) Patients expected lifespan
B) Patients gender
C) Patients occupation
D) Patients culture

Question 5

The nurse is planning to teach a 75 -year-old patient with coronary artery disease about administering her prescribed antiplatelet medication. How can the nurse best enhance the patients ability to learn?

A) Provide links to Web sites that contain evidence-based information.
B) Exclude family members from the session to prevent distraction.
C) Use color-coded materials that are succinct and engaging.
D) Make the information directly relevant to the patients condition.

Question 6

A nurse is planning care for an older adult who lives with a number of chronic health problems. For which of the following nursing diagnoses would education of the patient be the nurses highest priority?

A) Risk for impaired physical mobility related to joint pain
B) Functional urinary incontinence related decreased mobility
C) Activity intolerance related to contractures
D) Risk for ineffective health maintenance related to nonadherence to therapeutic regimen

Question 7

Health promotion ranks high on the list of health-related concerns of the American public. Based on current knowledge, what factor should the nurse prioritize in an effort to promote health, longevity, and weight control in patients?

A) Good nutrition
B) Stress reduction
C) Use of vitamins
D) Screening for health risks

Question 8

The nursing profession and nurses as individuals have a responsibility to promote activities that foster well-being. What factor has most influenced nurses abilities to play this vital role?

A) Nurses are seen as nurturing professionals.
B) Nurses possess a baccalaureate degree as the entry to practice.
C) Nurses possess an authentic desire to help others.
D) Nurses have long-established credibility with the public.

Question 9

The nurse is teaching a local community group about the importance of disease prevention. Why is the nurse justified in emphasizing disease prevention as a component of health promotion?

A) Prevention is emphasized as the link between personal behavior and health.
B) Most Americans die of preventable causes.
C) Health maintenance organizations (HMOs) now emphasize prevention as the main criterion of health care.
D) External environment affects the outcome of most disease processes.

Question 10

The nurse is preparing discharge teaching for a 51-year-old woman diagnosed with urinary retention secondary to multiple sclerosis. The nurse will teach the patient to self-catheterize at home upon discharge. What teaching method is most likely to be effective for this patient?

A) A list of clear instructions written at a sixth-grade level
B) A short video providing useful information and demonstrations
C) An audio-recorded version of discharge instructions that can be accessed at home
D) A discussion and demonstration between the nurse and the patient

Question 11

You are the nurse planning to teach tracheostomy care to a patient who will be discharged home following a spinal cord injury. When preparing your teaching, which of the following is the most important component of your teaching plan?

A) Citing the evidence that underlies each of your teaching points
B) Alleviating the patients guilt associated with not knowing appropriate self-care
C) Determining the patients readiness to learn new information
D) Including your nursing colleagues in the planning process

Question 12

A public health nurse is preparing to hold a series of health-promotion classes for middle-aged adults that will address a variety of topics. Which site would best meet the learning needs of this population?

A) A well-respected physicians office
B) A large, local workplace
C) The local hospital
D) An ambulatory clinic

Question 13

A nurse has been studying research that examines the association between stress levels and negative health outcomes. Which relationship should underlie the educational interventions that the nurse chooses to teach?

A) Stress impairs sleep patterns.
B) Stress decreases immune function.
C) Stress increases weight.
D) Stress decreases concentration.

Question 14

A public health nurse understands that health promotion should continue across the lifespan. When planning health promotion initiatives, when in the lifespan should health promotion begin?

A) Adolescence
B) School age
C) Preschool
D) Before birth

Question 15

A nurse is working with a teenage boy who was recently diagnosed with asthma. During the current session, the nurse has taught the boy how to administer his bronchodilator by metered-dose inhaler. How should the nurse evaluate the teachinglearning process?

A) Ask the boy specific questions about his medication.
B) Ask the boy whether he now understands how to use his inhaler.
C) Directly observe the boy using his inhaler to give himself a dose.
D) Assess the boys respiratory health at the next scheduled visit.

Question 16

A team of public health nurses are doing strategic planning and are discussing health promotion activities for the next year. Which of the following initiatives best exemplifies the principles of health promotion?

A) A blood pressure clinic at a local factory
B) A family planning clinic at a community center
C) An immunization clinic at the largest local mall
D) A workplace safety seminar

Question 17

You are the oncoming nurse and you have just taken end-of-shift report on your patients. One of your patients newly diagnosed with diabetes was admitted with diabetic ketoacidosis. Which behavior best demonstrates this patients willingness to learn?

A) The patient requests a visit from the hospitals diabetic educator.
B) The patient sets aside a dessert brought in by a family member.
C) The patient wants a family member to meet with the dietician to discuss meals.
D) The patient readily allows the nurse to measure his blood glucose level.

Question 18

A nurse is planning an educational event for a local group of citizens who live with a variety of physical and cognitive disabilities. What variable should the nurse prioritize when planning this event?

A) Health-promotion needs of the group
B) Relationships between participants and caregivers
C) Wellness state of each individual
D) Learning needs of caregivers

Question 19

A public health nurse is planning educational interventions that are based on Beckers Health Belief Model. When identifying the variables that affect local residents health promotion behaviors, what question should the nurse seek to answer?

A) Do residents believe that they have ready access to health promotion resources?
B) Why have previous attempts at health promotion failed?
C) How much funding is available for health promotion in the community?
D) Who is available to provide health promotion education in the local area?

Question 20

A nursing student is collaborating with a public health nurse on a local health promotion initiative and they recognize the need for a common understanding of health. How should the student and the nurse best define health?

A) Health is an outcome systematically maximizing wellness.
B) Health is a state that is characterized by a lack of disease.
C) Health is a condition that enables people to function at their optimal potential.
D) Health is deliberate attempt to mitigate the effects of disease.

Question 21

A parish nurse is describing the relationships between health and physical fitness to a group of older adults who all attend the same church. What potential benefits of a regular exercise program should the nurse describe? Select all that apply.

A) Decreased cholesterol levels
B) Delayed degenerative changes
C) Improved sensory function
D) Improved overall muscle strength
E) Increased blood sugar levels

Question 22

An occupational health nurse is in the planning stages of a new health promotion campaign in the workplace. When appraising the potential benefits of the program, the nurse should consider that success depends primarily on what quality in the participants?

A) Desire to expand knowledge
B) Self-awareness
C) Adequate time- and task-management
D) Taking responsibility for oneself

Question 23

A public health nurse is assessing the nutritional awareness of a group of women who are participating in a prenatal health class. What outcome would most clearly demonstrate that the women possess nutritional awareness?

A) The women demonstrate an understanding of the importance of a healthy diet.
B) The women are able to describe the importance of vitamin supplements during pregnancy.
C) The women can list the minerals nutrients that should be consumed daily.
D) The women can interpret the nutrition facts listed on food packaging.

Question 24

A nurse has planned a teachinglearning interaction that is aimed at middle school-aged students. To foster successful health education, the nurses planning should prioritize which of the following components?

A) Pretesting
B) Social and cultural patterns
C) Patient awareness
D) Measurable interventions

Question 25

Positive patient outcomes are the ultimate goal of nursepatient interactions, regardless of the particular setting. Which of the following factors has the most direct influence on positive patient-care outcomes?

A) Patients age
B) Patients ethnic heritage
C) Health education
D) Outcome evaluation

Question 26

A school nurse is facilitating a health screening program among junior high school students. What purpose of health screening should the nurse prioritize when planning this program?

A) To teach students about health risks that they can expect as they grow and develop
B) To evaluate the treatment of students current health problems
C) To identify the presence of infectious diseases
D) To detect health problems at an early age so they can be treated promptly

Question 27

A nurse recognizes that individuals of different ages have specific health promotion needs. When planning to promote health among young adults, what subject is most likely to meet this demographic groups learning needs?

A) Family planning
B) Management of risky behaviors
C) Physical fitness
D) Relationship skills training

Question 28

Middle-aged adults are part of an age group that is known to be interested in health and health promotion, and the nurse is planning health promotion activities accordingly. To what suggestions do members of this age group usually respond with enthusiasm? Select all that apply.

A) How lifestyle practices can improve health
B) How to eat healthier
C) How exercise can improve your life
D) Strategies for adhering to prescribed therapy
E) Exercise for the aging

Question 29

A community health nurse has been asked to participate in a health fair that is being sponsored by the local senior center. The nurse should select educational focuses in the knowledge that older adults benefit most from what kind of activities?

A) Those that help them eat well
B) Those that help them maintain independence
C) Those that preserve their social interactions
D) Those that promote financial stability

Question 30

A recent nursing graduate is aware that the nursing scope of practice goes far beyond what is characterized as bedside care. Which of the following is a nurses primary responsibility?

A) To promote activities that enhance community cohesion
B) To encourage individuals self-awareness
C) To promote activities that foster well-being
D) To influence individuals social interactions

Question 31

A nurse who provides care at the campus medical clinic of a large university focuses many of her efforts on health promotion. What purpose of health promotion should guide the nurses efforts?

A) To teach people how to act within the limitations of their health
B) To teach people how to grow in a holistic manner
C) To change the environment in ways that enhance cultural expectations
D) To influence peoples behaviors in ways that reduce risks

Question 32

Health care professionals are involved in the promotion of health as much as in the treatment of disease. Health promotion has evolved as a part of health care for many reasons. Which of the following factors has most influenced the growing emphasis on health promotion?

A) A changing definition of health
B) An awareness that wellness exists
C) An expanded definition of chronic illness
D) A belief that disease is preventable

Question 33

A nurse is working with a male patient who has recently received a diagnosis of human immunodeficiency virus (HIV). When performing patient education during discharge planning, what goal should the nurse emphasize most strongly?

A) Encourage the patient to exercise within his limitations.
B) Encourage the patient to adhere to his therapeutic regimen.
C) Appraise the patients level of nutritional awareness.
D) Encourage a disease-free state,

Question 34

Research has shown that patient adherence to prescribed regimens is generally low, especially when the patient will have to follow the regimen for a long time. Which of the following individuals would most likely benefit from health education that emphasizes adherence?

A) An older adult who is colonized with methicillin-resistant Staphylococcus aureus (MRSA)
B) An 80-year-old man who has a small bowel obstruction
C) A 52-year-old woman who has a new diagnosis of multiple sclerosis
D) A child who fractured her humerus in a playground accident

Question 35

You are the clinic nurse providing patient education to a teenage girl who was diagnosed 6 months ago with type 1 diabetes. Her hemoglobin A1C results suggest she has not been adhering to her prescribed treatment regimen. As the nurse, what variables do you need to assess to help this patient better adhere to her treatment regimen? Select all that apply.

A) Variables that affect the patients ability to obtain resources
B) Variables that affect the patients ability to teach her friends about diabetes
C) Variables that affect the patients ability to cure her disease
D) Variables that affect the patients ability to maintain a healthy social environment
E) Variables that affect the patients ability to adopt specific behaviors

Question 36

Nurses who are providing patient education often use motivators for learning with patients who are struggling with behavioral changes necessary to adhere to a treatment regimen. When working with a 15 -year-old boy who has diabetes, which of the following motivators is most likely to be effective?

A) A learning contract
B) A star chart
C) A point system
D) A food-reward system

Question 37

As the nurse working in a gerontology clinic, you know that some elderly people do not adhere to therapeutic regimens because of chronic illnesses that require long-term treatment by several health care providers. What is the most important consideration when dealing with this segment of the population?

A) Health care professionals must know all the dietary supplements the patient is taking.
B) Health care professionals must work together to provide coordinated care.
C) Health care professionals may negate the efforts of another health care provider.
D) Health care professionals must have a peer witness their interactions with the patient.

Question 38

An adult patient will be receiving outpatient intravenous antibiotic therapy for the treatment of endocarditis. The nurse is preparing to perform health education to ensure the patients adherence to the course of treatment. Which of the following assessments should be the nurses immediate priority?

A) Patients understanding of the teaching plan
B) Quality of the patients relationships
C) Patients previous medical history
D) Characteristics of the patients culture

Question 39

The nurse is working with a male patient who has diagnoses of coronary artery disease and angina pectoris. During a clinic visit, the nurse learns that he has only been taking his prescribed antiplatelet medication when he experiences chest pain and fatigue. What nursing diagnosis is most relevant to this assessment finding?

A) Acute pain related to myocardial ischemia
B) Confusion related to mismanagement of drug regimen
C) Ineffective health maintenance related to inappropriate medication use
D) Ineffective role performance related to inability to manage medications